Michelle M Kessler, PC-CR

Key facts

NPI

1669746319

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

C1000431 (OH)

Practice address

117 W Wyandot Ave
Upper Sandusky, OH 43351-1348

Phone

(419) 294-5795

Fax

(419) 294-5795

NPI assigned

Feb 28, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 23, 2012.

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1669746319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W. WYANDOT AVENUE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "43351",
            "telephone_number": "419-294-5795",
            "fax_number": "419-294-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W WYANDOT AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511348",
            "telephone_number": "419-294-5795",
            "fax_number": "419-294-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "PC-CR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1000431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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